Gaks Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY51136 Issued in CA

Legal business name

GAKS PHARMACY, LLC

Practice address

10700 Balboa Blvd # 101
Granada Hills, CA 91344-5001

Phone

(818) 831-2090

NPI assigned

Nov 3, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Eun Joo Gak, PHARM.D.NPI 1063840825

Title

President

Phone

(818) 831-2090

Specialties & licenses 1

Addresses

Other names 1

• Balboa Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eun J Gak, PHARM.D.

  • Pharmacist
  • Granada Hills, CA
  • NPI 1063840825
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1351900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429747200000",
    "number": "1942554530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 BALBOA BLVD # 101",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913445001",
            "telephone_number": "818-831-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 BALBOA BLVD # 101",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913445001",
            "telephone_number": "818-831-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAKS PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-03",
        "last_updated": "2015-04-23",
        "status": "A",
        "authorized_official_last_name": "GAK",
        "authorized_official_first_name": "EUN",
        "authorized_official_middle_name": "JOO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-831-2090",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY51136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Balboa Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nikki Carelli Gabriel, MFT
• Makroui Gabrielian, FNP
• Nowelle M Gaid, PA-C
• Bruce Gaines
• Eun J Gak, PHARM.D.
• Henrieta Galstyan, LMFT
• Silvia Galustian, LMFT
• Rosaura Ortiz Gamez, RN
• Gamsa Therapy Clinic
• Marianna Garay

• Community/Retail Pharmacy in Granada Hills, CA
• Providers in Granada Hills, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.